HomeMy WebLinkAbout0434 SEA VIEW AVENUE - Health 434 Sea View Avenue
Osterville
A = 138 002004
f Y
No. — Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in c' pu er: Ye
PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS
Rpplication for Misposar bpstem Construrtion permit
Application for a Permit to Construct W Repair( ) Upgrade( ) Abandon( ) ❑Complete System ❑Individual Components '
c'.
Location Address or Lot No. Jae �ir� �f✓. Owner's Name,Address,and Tel.No.
luo oM) r.
s or p/Parcel ' ('�dt\we
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
just s, Sec-de3
Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) gpd Design flow provided /IJ 1+ gpd
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) l A o bt G,O PI PC- 40M pdd tindh k irs
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health.
Signed Date
Application Approved by DateTZ���
Application Disapproved by Date
for the following reasons
Permit No. Im Date Issued
A
No-A1,4 if " Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in cA pu er: Yes`�
PUBLIC HEALTH DIVISION - TOWN-OF BARNSTABLE, MASSACHUSETTS
` 2pplication for Bisposal *pstem Construction Permit
Application for a Permit to Construct(P Repair( ) Upgrade( ) Abandon( ) ❑Complete,System ❑Individual Components/
Location Address or Lot No. r;
3 VieL,/ ve, Owner's Name,Address,and Tel.No.
� 4 _�sse sor"-M'p/Parcel �tl,
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
t
Type of Building:
Dwelling No.of Bedrooms / '� Lot Size sq.ft. Garbage Grinder
+ r
Other Type of Building No'of Persons Showers( ) Cafeteria( )
s:
Other Fixtures
Design Flow(min.required) � "" gpd Design flow provided /V/Q gpd
<r �
.Plan- --Date Number of sheets Revision Date
Title , F
Size of Septic Tank Type of S.A.S.
Description of Soil rJ�b
Nature of Repairs or Alterations(Answer when applicable)
n411C
Date last inspected:
Agreement: ` .
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in
accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of
Compliance has been issued by this Board of Health. '
: r
Signed y , _ .. .---. Date
r• Application Approved by Date 22 p f
Application Disapproved by Date ,
t for the following reasons
Date Issued ! ! z 1
THE COMMONWEALTH OF MASSACHUSETTS
QW � >T�'o'"' v" air BARNSTABLE, MASSACHUSETTS .yry
} Certificate of Compliance
a
THIS IS TO CERTIFY,that the Oh-site Sewage Disposal system Constructed Q0 Repaired( ) Upgraded( )
Abandoned( )byr � d�l-g.
at � has been constructed in accordance I /
with the provisions of Title 5 and the for Disposal System Construction Permit No.091-- )1 7— dated +t/ /."2.0 z t
s
Installer Designer
#bedrooms A) Approved design flow�A� �,1� gpd
The permit shall not be construed as a guarantee that the system sl c of n as desi ed.
1,
Date Inspector
o this e ( Inspector /
� ---
- -- No. /f�Z �` — ^P ."� -._-_ __... . .. _. _ ._ .•_. - Fee `d / _-^ Z
tr THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS
30isposar 6pstem Construction Permit
Permission is hereby granted to Construct K) Repair( ) Upgrade( ) Abandon( )
System located at W
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
Provided:Construction must be completed within three years of the date of this permit.
Date �j A 7,1 Approved by
1.
COMMO N�EALTH OF MASSACHUSETTS
. ..
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
r` -DEPART ENT OF ENVIRONMENTAL PROTECTION -
a.
TITLE 5
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL• SYSTEM FORM
a` PART A
CERTIFICATION -
Property Address: 434 Sea View Ave.
Osterville,MA 0265 Q S
Owner's Name: . Bob Breault
Owner's Address: JoF
Date of Inspection: May 17. 2013 #
Name of Inspector:y(Please Print) James M Ford
Company Name: James M.For
Mailing Address: . P.O.Box 49
Osterville,MA`02655-0049
Telephone Number: (508)862-9400-
�i
CERTIFICATION STATEMENT
, r
I certify that I have personally inspected the sewage disposal system.at this address and that the information reported
below is true,accurate and complete as of thq-time of the inspection. The inspection was performed based on my
training and experience in the proper functioq}and maintenance of on site sewage disposal systems. I am a DEP
approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15 000). The system:
✓ Passes
r+, .
ondirionally Passes
Ie Further Evaluation by the Local Approving Authority
. ,a s
Inspector's Signature: Date: May 20, 2013.
The system inspector shall su it a copy of fpis:inspection report to the Approving Authority(Board of Health or
DEP)within 30 days of comple ing this inspection. ,If the system is a shared system or has a design flow of 10,000
d or reater,the inspector and the system owner shall.submit the report to the appropriate re ional office of the
' gP g p. Y Pg
DEP. The original should be sent to.the system owner and.copies sent to the buyer,if applicable,and the approving
authority.
Notes and Comments
****This report only describes conditions pt the time of inspection and under:the conditions of use at that
time. This inspection does not address hove the system will perform in the future under the same or different `
conditions of use.
Title 5 Inspection Fonn 6/15/2000 page 1
N
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Page 2 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 434 Sea View Ave.
Ostervilk MA
Owner: Bob Breault
Date of Inspection: May 17, 2013
Inspection Summary: Check A,B,C,D or.E/ALWAYS complete all of Section D
A. System Passes:
✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR
15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below.
Comments:
r .
B. System Conditionally Passes:
One or more system components as described in the"Conditional Pass" section need to be replaced or
repaired. The system,upon completion of the-yeplacement or repair,as approved by the Board of Health,will pass.
Answer yes,no or not determined(Y,N,ND)in,the for the following statements. If"not determined",please.
explain. t
The septic tank is metal and over 20.years old*or the septic tank(whether metal or not)is structurally
unsound,exhibits substantial infiltration or exEltration or tank failure is imminent. System will pass inspection if the
existing tank is replaced with a complying septic tank as approved by the Board of Health.
*A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance
indicating that the tank is less than 20 years old is available.
ND explain:
Observation of sewage backup or break out or high static water level in the distribution box due to broken or
obstructed pipe(s)or due to a broken;settled or uneven distribution box. System will pass inspection if (with
approval of Board of Health):
broken pipe(s)are replaced
obstruction is removed
distribution box is leveled or replaced
ND explain:
The system required pumping more than 4 times a year due to broken or obstructed pipe(s): The system will
pass inspection if(with approval of the Board of Health):
broken pipe's)are replaced
obstruction is removed
ND explain:
2
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Page 3 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 434 Sea View Ave.
Osterville. AM_
Owner: Bob Breault
Date of Inspection: May 17. 2013
C. Further Evaluation is Required by the Board of Health:
ra
Conditions exist which require further evaluation by the Board of Health in order to determine if the system
is failing to protect public health,safety or the environment.
1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303 (1)(b)thafthe
system is not functioning in a manner which will protect public health,safety and the environment:
Cesspool or privy is within 50 feet of a surface water
a r'
Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh
2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the
system is functioning in a manner that protects the public health,safety and environment:
The system has a septicaank and soil absorption system(SAS)and the SAS is within 100 feet of a
surface water supply or tributary to a surface water supply.
The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply.
The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well.
r.
The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a
private water supply well". Method used,to determine distance
"This system passes if the well-water analysis,performed at a DEP certified laboratory, for coliform
bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and
the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other
failure criteria are triggered. A copy of the analysis must be attached to this form.
3. Other:
3
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Page 4 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART A
CERTIFICATION (continued)
Property Address: 434 Sea View Ave.
Ostervilk MA
Owner: Bob Breault
Date of Inspection: May 17, 2013
D. System Failure Criteria applicable to all systems:
You must indicate either"yes"or"no"to each of the following for all inspections:
Yes No
✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool
✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or
clogged SAS or cesspool
✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or
cesspool fi
✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than%z day flow
✓ Required pumping more tha' '4 times in the last year.NOT due to clogged or obstructed pipe(s). Number
of times pumped
✓ Any portion of the SAS,cesspool or privy is below high ground water elevation.
✓ Any portion of cesspool or'privy is within 100 feet of a surface water supply or tributary to a surface ,
water supply.
✓ Any portion of a cesspool or privy is within a Zone 1 of a public well.
✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well.
✓ Any portion of a cesspool or-privy is less than 100 feet but greater than 50 feet from a private water
supply well with no acceptable water quality analysis. [This system passes if the well water analysis,
performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds
indicates that the well is free from pollution,from that facility and the presence of ammonia
nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria
are triggered. A copy of the analysis must be attached to this form.]
No (Yes/No)The system fails. I have determined that one or more.of the above failure criteria exist as
described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of
Health to determine what will be necessary to correct the failure.
E. Large System:
To be considered a large system the syste&must serve a facility with a design flow of 10,000 gpd to 15,000
gpd
You must indicate either"yes"or"no"to each of the following:
(The following criteria apply to large systems:in addition to the criteria above)
Yes No
the system is within 400 feet of a surface drinking water supply
the system is within 200 feet of a tributary to a surface drinking water supply
_ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped
Zone II of a public water supply well
If you have answered"yes"to any question in Section E the system is considered a significant threat,`or answered
"yes"in Section D above the large system has failed. The owner or operator of any large system considered a
significant threat under Section E or failed urider Section D shall upgrade the system in accordance with 310 CMR
15.304. The system owner should contact the,appropriate regional office of the Department.
,. 4
• Page 5 of 11
9 ,
OFFICIAL INSPECTION.FORM NOT FOR,VOLUNTARY ASSESSMENTS
SUBSURFACE SEVE,AGEDISPOSAL SYSTEM INSPECTION FORM
PART B.
CHECKLIST
Property Address: 434 Sea View Ave:
Osterville.MA
Owner: Bob Breault s Y �
Date of Inspection: May 17, 2013
Check if the following have been done: You must indicate yes- or no as to each of the following; r
Yes No „
✓ Pumping information was Provided by the owner,occupant,or Board'of Health
✓ Were any of the system components pumped out in the previous two weeks
✓ Has the system received'normal flows in the previous two week period.? ,
— _✓ Have large volumes of water been introduced to the system recently or as part,of this.inspection?
Were as built plans of the system obtained and,examined? (If they were not available note as N/A)
✓ Was the facility or dwelling inspected for signs of sewage backup?
✓ Was the site inspected for signs of breakout
✓ Were all system components excluding the SAS,located on site?
✓ Were the septic tank manholes uncovered_,opened,and the interior of the tank inspected for the condition
of the baffles or tees,material of construction,dimensions,depth of liquid,depth.of sludge and depth of scum?
✓ — Was the facility owner(and occupants if different from owner)provided with information on the proper
maintenance of subsurface sewage disposal systems? r
The size and location of Pit$oil Absorption System(SAS)on the site has been determined based on:
Yes No
g p , P
✓ Existing information. For exam lea lari at the Board of Health. "
✓ Determined in the field(if any of the failure criteria related to Part C'is at issue approximation of distance
is unacceptable)[310,CMR 15.302(3)(b)].`'
a.
5
Page 6 of 11
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION
Property Address: 434 Sea View Ave.
Osterville.MA
Owner: Bob Breault
Date of Inspection: May 17, 2013
FLOW CONDITIONS
RESIDENTIAL -
Number of bedrooms(design): S Number of bedrooms(actual): N/a
DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): SSO
Number of current residents: 0 a
Does residence have a garbage grinder(yes ee no): N/a
Is laundry on a separate sewage system(yes or no): N/a [if yes separate inspection required]
p q ]
Laundry system inspected(yes or no): no *.
Seasonal use(yes or no): no ,
Water meter readings,if available(last 2 years usage(gpd)): Unavailable
Sump Pump(yes or no): No
Last date of occupancy: Unknown
COMMERCIAL/INDUSTRIAL
Type of establishment:
Design flow(based on 310 CMR 15.203): epd
Basis of design flow(seats/persons/sq/ft etc.):
Grease trap present(yes or no):
Industrial waste holding tank present(yes or no)
Non-sanitary waste discharged to the Title 5'system(yes or no):
Water meter readings,if available:
Last date of occupancy/use:
OTHER(describe):
? GENERAL INFORMATION
Pumping Records
Source of information: unavailable
Was system pumped as part of the inspection:(yes or no):
If yes,volume pumped: eallons--`How was quantity pumped determined?
Reason for pumping: r
TYPE OF SYSTEM
Septic tank,distribution box,soil adsorption system
Single cesspool
Overflow cesspool .
Privy
Shared system(yes or no) (if yes,attach previous inspection records,if any)
Innovative/Alternative technology."Attach a copy of the current operation and maintenance contract(to be
obtained from system owner)
Tight Tank Attach a copy o..the DEP approval
Other(describe):
Approximate age of all components,date installed(if known)and source of information:.
Date of installation -9109103
Were sewage odors detected when arriving at the site(yes or no): No
6
Page 7 of 11
OFFICIAL INSPECTIONYORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM,INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 434 Sea View Avt'_
Osterville,MA
Owner: Bob Breault
Date of Inspection: May 17. 2013
BUILDING SEWER(locate on site plan)
Depth below grade:
Materials of construction: _cast iron s 40 PVC other(explain):
Distance from private water supply well or suction line:
Comments(on condition of joints,venting,evidence of leakage,etc.):
t
SEPTIC TANK: ✓ (locate on site plan)
Depth below grade' 21"
Material of construction: ✓ concrete metal _"fiberglass _polyethylene
_other(explain)
If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of
certificate)
Dimensions: 1500 gal. H-20
Sludge depth: 1
Distance from top of sludge to bottom of outlet tee or baffle: 30"
Scum thickness: I"
Distance from top of scum to top of outlet tee or baffle: 6"
Distance from bottom of scum to bottom of outlet tee or baffle: 10"
How were dimensions determined: Measuring stick
Comments(on pumping recommendations,iTtlei and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert;evidence of leakage;,etc.).
The Tees were present. The liquid level was even with the outlet invert. There did not appear to be any signs of leakage
The outlet cover is under the concrete walkway.
GREASE TRAP: None (locate on site plan)
Depth below grade:
Material of construction: concrete - metal _fiberglass _polyethylene _other
(explain): i.
Dimensions: i
Scum thickness:
Distance from top of scum to top of outlet tee or baffle:
Distance from bottom of scum to bottom of outlet tee or baffle:
Date of last pumping:
Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels
as related to outlet invert,evidence of leakage;etc.):
1
7
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Page 8 of 11 it
OFFICIAL INSPECTIONTORM NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 434 Sea View Ave.
Osterville,MA
Owner: Bob Breault
Date of Inspection: May 17, 2013
i"
TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan)
Depth below grade: ` J
Material of construction: _concrete _metal fiberglass _polyethylene _other(explain):
Dimensions:
Capacity: gallons
Design Flow: Qallons/day. :'
Alarm present(yes or no):
Alarm level: Alarm in working order(yes or no):
Date of last pumping:
Comments(condition of alarm and float switches,etc.):
DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan)
Depth of liquid level above outlet invert: -
Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of
leakage into or out of box,etc.):
Present per as-built. Could not find in driveway
PUMP CHAMBER: None (locate on site plan)
Pumps in working order(yes or no):
Alarms in working order(yes or no)
Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.):
8
Page 9 of 11
OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY•ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued) ,
�f •
Property Address: 434 Sea View Ave.
Osterville,MA
Owner: Bob Breault -
Date of Inspection: May 17, 2013
SOIL ABSORPTION SYSTEM(SAS): _":✓_�(locate on site plan,excavation not required)
If SAS not located explain why:
Type
leaching pits,number:
✓ leaching chambers,number: 5-500tga1. leach chambers. 13'x51'per as-built
leaching galleries,number:
leaching trenches,number,length:
leaching fields,number,dimensions
overflow cesspool,number:
:x 2r
Innovative/alternative system Type/name of technology:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.):
The chambers were dry and clean 77tere did not appear to be any signs of failure. Steel covers are to grade in the driveway
The bottom to grade was 5.5'
CESSPOOLS: None ,(cesspool must beptimped as part of inspection)(locate on site plan)
Number and configuration:
Depth-top of liquid to inlet invert:
Depth of solids layer:
Depth of scum layer: ,
Dimensions of cesspool:
Materials of construction:
Indication of groundwater inflow(yes or no): r
Comments (note condition of soil,signs of hydraulic failure;level of ponding,condition of vegetation,etc.):
xm
t ;
PRIVY: None (locate on site plan)
Materials of construction: "
Dimensions:
Depth of solids:
Comments(note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.):
9
Page 10 of 11
.r
t
OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)' ,
Property Address: 434 Sea View Ave:
Osterville,MA
Owner: Bob Breault I.
Date of Inspection: May 17, 2013
SKETCH OF SEWAGE DISPOSAL SYSTEM
Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or
benchmarks. Locate all wells within 100 feet. ,Locate where public water supply enters the building.
4 �
S
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Y
(y�° I s bract PoEl
3 �10 4
s ( 0 �� .�
10
Page 11 of 11
OFFICIAL INSPECTION FORM-'NOT FOR VOLUNTARY ASSESSMENTS
SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM
PART C
SYSTEM INFORMATION (continued)
Property Address: 434 Sea View Ave.
Osterville,MA
Owner: Bob Breault
Date of Inspection: May 17, 2013
SITE EXAM
Slope
Surface water
Check cellar
Shallow wells
, x T ,
Estimated depth to ground water 12+1- t feet y
Please indicate.(check) all methods used to determine the high ground water elevation:
Obtained from system design plans on record- If checked, date of design plan reviewed:
Observed site(abutting property/observation hole within 150 feet of SAS)
Checked with local Board of Health-explain: Topographic and water contours mans
Checked with local excavators,installers-(attach documentation)
Accessed USGS database-explain:
You must describe how you established the f'aigh ground water elevation:
Using Barnstable topOQYaphic and water contours mans the maps were showing approximately 12 +/-to ground water at this
site.
_ f
This report has been prepared only for the septic system and components described herein, This septic system has been
inspected and passed as of the date of+aspection. This report is not a warranty or guarantee that the system will
function properly in the future. There Dave been no warranties or guarantees,either expressed,written or implied,
relating to the septic system, the inspection, this report and/or any components of the septic system which have not
been located and inspected
i 11
y TOWN OF BARNSTABLE
LOCATION 1 Se/0 tW Ave. SEWAGE#
VILLAGE O 911AVAJ- ASSESSOR'S MAP&PARCEL (3 rr OOa.
INSTALLER'S NAME&PHONE NO.
SEPTIC TANK CAPACITY I SQt) (4'QLQ
LEACHING FACILITY.(type) S' S� �/��. C (size) N
NO.OF BEDROOMS S
OWNER Q 0GAV�
PERMIT DATE: COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility(If any wells exist on`
site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist within
` 300 feet of leaching facility) J Feet
FURNISHED BY ,1S LC ion
B
O
y _ lot
,
TOWN OF BARNSTABLE
LOCATION 1-13q Je&V%eco HyeYIUG SEWAGE # 2CO3-111-l'
V'II:LAGE Q1;; r2u;f,f E ASSESSOR'S MAP &LOT
INSTALLER'S NAME&PHONE NO. r/��r leiu� 3(oZ`-3D1�5'
SEPTIC TANK CAPACITY 1-120
LEACHING FACILITY: (type) " i `/itgiz(size).a )(.:2
NO. OF BEDROOMS f
BUILDER OR OWNER r k T
PERMTTDATE: 7 COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on•site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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No. ��•� �r - _ x, Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
01pprication for Migool bpgtem Construction permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. Owner's Name,Address and Tel.No.
fro
Assessor's Map/Parcel a� ✓y[l �O �� LT
1 o® _SDl� O O S�
Installer's Name,Address,and Tell.. o. Designer's Name,Address and Tel.No.
Type of Building: S ppmve 0
y
Dwelling No.of Bedrooms Lot Size .56dsq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date SEPr SO 10 _QOfl Q Number of sheets Revision Date
Title
Size of Septic Tank 6A-L_ Type of S.A.S. S CrQ c44
Description of Soil
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage�lisposal system
in accordance with the provisions of Till ental Code and not to place the syste er ion until a Certifi-
cate of Compliance has been ' y this Board of
Signe Date
Application Approved by `lJ. Date 6
Application Disapproved for the following reasons
Permit No. Dxm 3 I I I Date Issued " U
NO. � . e " r--_--**_e .a J Fee /t
THE COMMONWEALTH OF MASSACHU ETTS Entered in computer:
y . •' d ., t'# �Yesal
PUBLIC HEALTH DIVISION -TOWN_,OF:BARNSTABLE} MASSACHUSETTS
^Vy F
ZIpp
Yication for ig o� paY teru �Ott�tructiott Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon(' ) O Complete System O Individual Components
Location Address or Lot No. }' Owner's Name,Address and Tel.No.
{• Assessor's,MapTarcel V,M
Installer's Name,Address,and Tel.'No. s Designer's Name,Address and Tel.No.
40 L-F Cve4
r
Type of Building: 1 ��". d ny O/�
Dwelling No.of Bedrooms LotSize �. 6Qsq.ft. Garbage Grinder( )
Other 'Type of Building / No. of Persons Showers( ) Cafeteria( )
Other FiAures
� r
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date SEAT t40 G i"a- Number of sheets Revision Date
Title,
Size of Septic Tank. SO-7J r4-L Type of S.A.S. 56�0i.mgC
Description of Soil I
Nature of Repairs or Alterations(Answer when applicable)
Date last inspected-
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions of_�T,it•1-e-5-eft VTrb 7nental Code and not to place the s� ,opomtI n until a Certifi-
cate of Compliance has been ' tl"by this Board of Heh
f ' ",
Signed / - Date
Application Approved by 114, Date _d o 3
Application Disapproved for the following reasons
Permit No. Z)d d 3 - Date Issued a t U
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance y, A
THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( ')Repaired( )Upgraded( )
Abandoned( )b
" - at k has been constru tedin accordance
- - with the provisions of Title 5 and the for Disposal System Construction Permit No.00-)3^/1`� dated 3t�a S`/
Installer -_ Designer J.
The issuance of this p�rmi shall not be construed as a guarantee that the system d "si-edo
� �� � �Date _ _� -- .--- Inspector :l_ r'
— a— ' 11� ------------ ----------------Fee !- o
)
THE COMMONWEALTH OF MASSACHUSETTS ;
PUBLIC HEALTH DIVISION -BARNSTABLE., MASSACHUSETTS
lwigoal *V'Mem Conotruction Permit
Permission is hereby granted to Construct(` )Repair( ) pgrade( )Abandon( )
System located at'�J'� -SP0, 1,v 1,4 Ala , 0ST M )LI
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
Provided:Cons ctioTu
st be completed within three years of the date of t s-p rmit�
Date: r7 72 3 Approved by b`•• �� :
TOWN OF BARNSTABLE
LOCATION '213Y -11f-a 1:_eC0 AVC140e- SEWAGE #
VII.LAGE 097e4 VILE ASSESSOR'S MAP & LOT oG�[
INSTALLER'S NAME 8t PHONE NO. �k2r l��ltd9t �c1® 3�02-_XQ5'
SEPTIC TANK CAPACITY 1 Oe l R20
LEACHING FACILITY: (type �/ I �_-4d t (size) ue,y
NO.OF BEDROOMS .Sr
BUILDER OR OWNER 1' T
PERMITDATE:. 7� _COMPLIANCE DATE:
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 200 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility.(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
I ..
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3
L�q, ,f9
0-0
22
No.k-ZQ23:d Fee-------- ----
BOARD OF HEALTH
TOWN OF BARNSTABLE
�Q
Application Ar lVell Con5truction Permit D
Appli ation is hereby made for a permit to Cogstruct (r-<Alter ( ), or Repair ( )an individual Well at:
xllc- co
Location — Address Assessors Map and Parcel
® --ciSdr S
Owner Address e
ar
Installer — Driller Address —
Type of Building
Dwelling --- --— —- -
Other - Type of Building---- ----- No. of Persons-------------------------------
Type of Well Capacity-----O�
.Purpose of Well------7-4-
AC
Agreement:
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation - The undersigned further agrees not to
place the well in operation until Certi ' we D 1' n has been issued by the Board of Health.
—_ — - -13----
Signed ---
Application Approved By - - ------— lao --
date
Application Disapproved for the following reasons:------------ - - —----- - --— -----
---—---—--— — - -- - ------ --- — - --__ -
date
Permit No. 2- )03_b 2 —__— Issued---— -l2 a-- -- ------------
ate
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
i
THIS IS TO CERTIFY, That the Individual Well Constructed ( Altered ( ), or Repaired ( )
by-----01
--------- ---------- ----- -- ---- - -- - — --- ---- -
j `r Install`e/r
at- - `t 3 T Spy 1�'r`¢�—A —Q�T�'c,�,�f — -------— - ------ -- --has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well P ote tion
Regulation as described in the application for Well Construction Permit No.�L -?�__3`-- --2 -q�_
Dated-��""" ! 02
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE- ---- ------—-- -- Inspector----—- - --- ---------
00
- 5
No.—G---CI 7 3 Fee
BOARD
22 Fee ------------------
BOARD OF HEALTH
TOWN OF BARNSTABLE
Z.pplicationArVell Con5truct ion Permit �/y1
Application is hereby made for a permit to Construct (e')!Alter ( ), or Repair ( )an individual Well at:
—- - ��s��ie�!�br✓ G25 i�c�c ---— ' UU 2 ---
q Location— Address- - Assessors Map and Parcel 'Ownei` _ ." Address
Installer — Driller Address
Type of Building
Dwelling~� Other - Type of Building--_____—____________ No.`of Persons----------------------------------
S G CFI y
Type of Well �ff.SG —--- Capacity--- --- —--- ---
}
Purpose of Well — � � — -------
Agreement: ''
The undersigned agrees to install the aforedescribed individual well in accordance with the provisions of The
Town of Barnstable Board of Health Private Well Protection Regulation — The undersigned further agrees not to
place the well in operation until a Certi ' ate .of: 10 1' n has been issued by the Board of Health.
Signed --- - — - -C�� ---
Slg 3
date
Application Approved By—
date
Application Disapproved for the following reasons: ----- ---- —= - -- ---- —
�'� 1.
date 3
�2-yo3-622 Issued
!o lZ 03
Permit No.-- — --- ---—--- ;' --- ---— -- --
ate
BOARD OF HEALTH
TOWN OF BARNSTABLE
Certificate Of Compliance
THIS IS TO'CERTIFY, That the Individual Well Constructed (pA,ltered ( ), or Repaired ( )
by------ ---- ----— — ----- -- --- — - -- - ------- ----- -
Installer
at 4 3 sea Ut'e,,� A ve �=---------- - ------ --_ ----has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
` Regulation as described in the application for Well Construction Permit No. Z(ap3^O Z'Z Dated �C 2_r�-_-_?__
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORY.
DATE------- _-- - Inspector ----- - -- ------—-- —
r
BOARD OF HEALTH `
TOWN OF BARNSTABLE
Ivell Cootructionpermit
No. Fee
LJ 2Gc>3--422-
-----_-�w_� --`
Permission is hereby granted
to Construct ( pair ( ) an Individual Wel at:
Alter ( ), or
No. - -------- - ------------------------------
Street
1
as shown on the application for a Well Construction Permit
IN, o.- — Q 3--C)zz ------ Dated -----------------
Board of Health
DATE— If _-
j
�1�r
Town of Barnstable
Board of Health
P.O. Box 534,Hyannis MA 02601
Office: 508-862-4644 Susan G.Rask,R.S.
FAX: 508-790-6304 Sumner Kaufman,MS
Wayne Miller,M.D.
June 11, 2003
Peter Sullivan, P.E.
Sullivan Engineering
Box 659
Osterville, MA
RE: .434 Seaview Avenue, Osterville, A=138-002-004 M
Dear Mr. Sullivan,
You are granted permission, on behalf of your client, Robert Breault,to construct an
onsite sewage disposal system designed to be connected to six bedrooms at 434 Seaview
Avenue, Osterville.
The septic system shall be constructed in accordance with the submitted plans dated
September 30, 2002.
Since ly yours
Wayne filler, M.D.
Chai
BOARD OF HEALTH
TOWN OF BARNSTABLE
Q:HEALTH/WP/ssull6beds
i t
tME Tq� DATE: J I D J 0j
FEE: iv
RAME rest.e.
HAM
039.
REC. BY
Town of Barnstable
SCHED. DATE:
Board of Health
367 Main Street,Hyannis MA 02601
Office: 508-862-4644 Susan G.Rask,R.S.
FAX: 508-790-6304 Sumner Kaufman,M.S.P.H.
Ralph A.Murphy,M.D.
VARIANCE REQUEST FORM (9I C—D OWA
LOCATION
Property Address: `f 3V Seq. Vic,, Aver,)P- 05�ery�A\
Assessor's Map and Parcel Number: 138-OOZ-0a'1 Size of Lot: Z.yq krtS
Wetlands Within 300 Ft. Yes ✓ Business Name:
No Subdivision Name:
APPLICANT'S NAME: I�obt--rV -BC eqA Phone 08-4Z8-3'-Sy t-
Did the owner of the property authorize you to represent him or her? Yes. ✓ No
PROPERTY OWNER'S NAME CONTACT PERSON
Name:Robe('� A/. TW,,,j lA- Name: Sit V,v
7 Parl.ter Krika( ..O- x '�-59
Address: zok 709 Address: 65Aery-�Ue , (hA 0Ztd55
QS i L fZv I L�C ni A O Z(os-5
Phone: Phone: SD8'�Z$��3yy
VARIANCE FROM REGULATION(List Reg.) REASON FOR VARIANCE(May attach if more space needed)
N�►NE (oc rc>:�th S
NATURE OF WORK: House Addition ❑ House Renovation ❑ Repaii of Failed Septic System
Checklist(to be completed by once stiff-person receiving variance request application) ,
_ Four(4)copies of the completed variance request form
— Four(4)copies of engineered plan submitted(e.g.septic system plans)
_ Four(4)copies of labeled dimensional floor plans submitted(e.g.house plans or restaurant kitchen plans)
_ Signed letter stating that the property owner authorized you to represent him/her for this request
_ Applicant understands that the abutters must be notified by certified mail at least ten days prior to meeting date at applicant's expense
(for Title V and/or local sewage regulation variances only)
_ Full menu submitted(for grease trap variance requests only).
_ Variance request application fee collected(no fee for lifeguard modification renewals,grease trap variance renewals[same
owner/lessee only],outside dining variance renewals[same owner/leasee only],and variances to repair failed sewage disposal systems
[only if no expansion to the building proposed])
Variance request submitted at least 15 days prior to meeting date
VARIANCE APPROVED Susan G.Rask,R.S.;Chairman
NOT APPROVED Sumner Kaufman,M.S.P.H.
REASON FOR DISAPPROVAL Ralph A.Murphy,M.D.
Q:/WP/VARIREQ
March 27, 2003
Town of Barnstable
Board of Health
200 Main Street
Hyannis, MA 02601
Dear Board of Health,
As owner of.the property located-at 434 Sea View Avenue in Osterville,
please be advised that Peter Sullivan or John O'Dea of Sullivan Engineering
have my permission to represent me before your board in matters relating
to a septic system design at my property.
Si ly,.
Robert Breault
!~ ' NOTES
P#10,263 .—, _
1 Performed By: Down Cape Eng. 1. Water Supply For This Lot is Municipal Water.
yll=�ff�=.L, :��il,. ��yF--..I __ ^IF. , ,, 'f.,.,: ;;i= L -Witnessed By:-David Stanton,
Ti_-.I f -3T_ '7i"u r�rt.. -'r..-_--'(' ii •"' if ��iT;
g� tt!�r. :ur,-l!'-- !!f';nr -j�1 -'�!!+� -*Tr'�+� -�f'�cif �r=!%-mr+-4L=�'�f� F+'� - 2. Location of Utilities Shown on This Plan Are Approx. -
cm*.cW F1U seb�� Town of Barnstable Board of Health
TEST HOLE 1 TEST HOLE 2 At Least 72 Hours Prior to Any Excavation For This
`� ' e�s��' 06/12/02 EL ',15.2 06/12/02 EL. 13.8 Project the Contractor Shall Make the Required
O LAYER 10YR 2/1 O/A LAYER 1OYR 2/1 Notification to Dig Safe (1-888-344-7233)
- BLACK I BLACK 3. The Contractor is Required to Secure Appropriate ,
4" ORGANIC 14.87 2" ORGANIC LOAMY SAND 13.63
s A LAYER IOYR 2/1 E LAYER IOYR 6/3 Permits From Town Agencies For Construction
71LEACHINGLACK , PALE BROWN Defined by This Plan.
r CHAMBER Al�, 3/4"-1 la" 7" LOAMY SAND 14.62 9" FINE SAND 13.05
e H-2U t Dwble Weed ..
E LAYER IOYR 6/3 B LAYER IOYR 5/6 4. Install Risers to Within 12" of
_ sm,� PALE BROWN YELLOWISH BROWN - Finished Grade. +
FINE SAND 14.28 20" LOAMY SAND . 12.13 5. All Structures Buried Four Feet or More or Subject
a'10 I B LAYER 10YR 5/6 _ C 1 LAYER 2.5Y 6/8 ,
YELLOWISH BROWN 1 OLIVE YELLOW to''Vehicular Traffic to be H-20 Loading.
1�•-10"
20" LOAMY SAND 13.53 65" MED. SAND 8.38 6• Septic System to be Installed in Accordance With
CROSS SECTION OF CHAMBER CI LAYER 2.5Y6/8 PERC TEST -
OLIVE YELLOW 24 GALLONS IN 10 MIN. 310 CMR 15.00 Latest Revision and the Town of
NOT TO SCALE 126" MED. SAND 4.7 _ 144" <2 MIN/INCH 1.8 Barnstable Board of Health Regulations.
' NO GROUNDWATER ENCOUNTERED GROUNDWATER ENCOUNTERED @ EL.1.8 - - -
APPROX.GROUNTWATER@ EL.1.8 7. All Piping to be Sch. 40 PVC.
. i
OF I
SULLI PETER
140.29733
CML Design Data
doe+ G CE ��t'o4'E'�`��,� Single Family-6 Bedroom
F.F EL.13.6Sl
F.G.EL.12 , With NO Garbage Grinder
See Noce a� .> Daily Flow= 110 x 6 660 GPD
Septic Tank: 660 GPD x 200%= 1320 GPD
u.o FF11 [IUse 1500 Gallon H-20 Septic Tank
1, Top EL Io.? Leaching Area
1500 Gallon K= K
Septic Tank 6 660 GPD /0.74=892 SF Required
H-20 Flow Equilizers Sidewall=2(.12'-10" +50'-6")2=253 SF
As Required EL'9.2___ W —
Bottom Area 12'-10" x 50'-6" =648 SF
ot El.7.2 901 SF Total Provided .
B •
—I Bedding&"T"s f .
l� as Per Title S t If l Unsuitable
SodsRemove&Replace Leaching Chamber Design
MuL 29 All Unsuitable Soils Within 5'of ,
The Outer Perimeter of The System a
Min. All Pipes to be Schedule 40. Use
DEVELOPED PROFILE OF PROPOSED SEPTIC SYSTEM Groundwater A El.1.8 5-500 Gal. Leaching Chambers in a
NOT TO SCALE 12'-10" x 50'-6"Washed Stone Field as
Shown.
Revision: Modified Footprint & Add Bedroom Date: -04 07 03
Title: Prepared By: Prepared For: N -
Proposed Improvements Date: September 30,2002CD
At Sullivan Engineering, Inc. C apes U ry Robert Breault
PO Box 659 - 7 Parker Road PO BOX 709 Scale:As Noted ry
434 Seaview Avenue Osterville, MA 02555 Oster ville MA 02655 Osterville, MA 02655 o
Barnstable(Osterville), MASS. (508)428-3344 (508)428-3115 fax (508)i420-3994 (508)420-3995 fax Project#:22042
PSUIIPE@nol.com + capesurvOcapecod.net
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FEMA Zone Lines
\ IP os Shown on FIRM Ct
Ponel 250001 0016 D 12'Pipe ci Q •• ,
Fnd rev July 2, 1992 / I Inv=1.7 CB/Cen
1 Fnd �. .- .• •, •rr-;. s
Wetland Limit (Isolated Vegetated Wetland) C2
/ OWNER:
NER • ,. •',••t Nry
g F os Flogged by ENSR ,. ` a'.
P' SEP102 e5 Pair \ Virginia F Wagenseller .� "•.�• a
wow, o c / Elizabeth F Fisher, & Henry H Fox .�d - " • : °�:� .\ \ n
es � � F �- � � c% Henry H Fox .` � • ; :.. • : ••• .�
_12"�Pip��i �
/ \ \ � Hilton Head SC 29928-3947 +6 Neok,• • /
Clean t �� / \ \.\ CP. °' a^ • � ,/
\ Wetland Limit (BVW). s Q,
/ / 9� / \ \\\ Q os Flagged by ENSR _
,3 6 ,� \ \ C3 SEP102 ASSESSORS REF..
00 �s
Map 138, Parcel 2CBILP
•. , o . • , o
Fnd B2/��. i `�- l _ / \ \ ,'. .•
-J / \ \\ 1 \ \\ OVERLAY DISTRICT: ) • �u•u, so, C. 4 ; 4
/ f 1 ,La�C5 p�• ,
� AP — Aquifer Protection District ° 3
/ I 1D Proposed 1 1 dEn
N A10 /I / Goos i onbngs ��� C6 As Shown on Plan Entitled •� '"
,� Defined _��- YP). . \ \ \ „
12"Pipe (cl) sue, Revised Groundwater Protection
\\ \ \W K �'.� \\ \ 50' \ °� Overlay Districts — April, 1993
Inv=1.9' \ \ `� `' l llo� m \ 3. \ o\ 19
\ —l— • - - _ \ s p
A9 \ = o ,Ivw i Proposed \ C7 6.�
\ \ ►� _ Lown \ \ \��� �- �, Location Map
\�\ `\ \� C8 FLOOD ZONE: 1"=2,000f'
all' A8 / ` / D `\� \ \ \ C9 Zone B & A11, A13, & V17 (see plan)
/l/ IPA: cio Community Panel No.
/ / • I :/. / O �4, Ga/• Dryweq \ \ \ / \ 1 Fndi \b #250001 0016 D
Roof& DrivewaY Runoff \ \ \` ` \ \ 1\ \ July 2, 1992 -'
/, ZONE
Wetland Limit (BVW) / / / J. /. . \ \ \ \� \ \ \� RF 1
os Flogged by ENSR // / / /// :J // \ I y -� \ \
SEP102 / : Oara _ \ ` \� \ \ i Area (min.) 43,560 SF
87,120 SF — R.P.O.D.
A�/ /// 9edrppm \. T •��; �\V Frontage (min) 20'
/ / - (Above) Pro / I l ,
(¢Posed/-/ouse V 1 (n Width min) 125
12"ook / — Bedrooms) /. .. ( Setbacks:
A4 G / ��°` a �� . J� o\ Fron t 30'
- m Side 15'
/ �/.' i/.F / / i ak 1 Proposed \ �1 `� Rear 15'
/,f� �
f — Ook
At
o° / /
6"Birch / / / / // / C20
/ CB/LP / �1 j ,5V / /
Fnc� / �j 18'Oak/ / / 18"Ook 0�µ// / / / P�#�i1— Fnd
/
Notes: 1) House / Lonscope Work Limit to be Double
...:I .. _°_: / / Aa
%� Staked Hay Bales With Silt Fencing.
--. .24:�dk . - - - / ��. ' ,- / / / �/ wEr 1 I 2) Plantings to Include: Honoki Cypress, Deciduous
/ C 42.00'✓ , / / e y
// Azaleas Cultivors, Birch, Hydrangea, Cranberr
6" a � / o/ - - � / y
Coastal Leucothoe, Inkberry,
�° a I I / / ✓/ / / / /. Bush Viburnam,
ya 1,rlowned Q I I / ;' � Japanese Holly, American Holy, Blue Spruce,
- : ell,
Proposed..' Septic S tam tips / / C24
; (Jee Sheet 2 a 2� i o�y / Enkianthus, Hosta, Ferns, Daylily, Iris, Alchemilla,
-�' oak �..�� , — '4 vy / // / / / and E imedium.
x i TH 2
�25-
Fnd
1 TH-1 . . . �� \ 1 \12"OC}k
Proposed I \ 1 ( I �l / I I dC26I I
Plantings :\ I
. . . . . . . . . . . . . . . 'A
I v
\. o I ` N
l 16.- . o -: . I a .,1 I �\ Revised Plan Submittal Sheet
\. a I 1 \ I Wetland Limit (BVW) is
. . . . . 3 . A. . . \. I I \ I I !V7' os Flogged by ENSR W SE3-4037
i 5.�. . . . . �� . . \ SEP102
('O f'ub/i \ �/1'� 4s� \ ' I co Applicants Name: Robert BreauR
c ryOJ� Spy �2 Oa I \ I � o
�C28 n_I C Project Location: 434 sea View Ave.Osterville
o \r '-' This project has already been issued an Order of Conditions _(
CD
� OR Check One
C29 \/0) / I \ \ .\ Order of Conditions not yet issued _
CB/DI-l\
\ � \ This plan wig be considered on:
F �/ / ` \ \Xso I
Modified House Footprint and
Added Landscaping. Sheet 1 of 2 Only. 01/13/03
C31 Reset House Work Limit and Add Notes.
11 2 Revision Sheet 1 of 2 Onl . 10129102
Title: PREPARED BY.• PREPARED FOR: Notes:
Site Plan
Sullivan Engineering Inc. CapeSurv'
Robert Breault 1.) The property line information shown wasProposed Improvementscompiled from available record information.
PO Box 659 7 Parker Road PO BOX 709
At Osterville, MA 02655 Osterville MA 02655 2.) The topographic information was obtained
434 Seaview Avenue (508)428-3344 (508)428-3115 fox (508)420-3994 (508)420-3995 fox Ostervill e MA 02655 from an on the ground survey performed on
or between 06/SEP/02 and 10/SEP/02.
Barnstable, (Osterville) Mass MDH WHK 3.) The datum used is NGVD '29, a fixed mean
Draft: JOD Field: / 40 0 20 40 80 160 sea level datum. A
Date: September 30, 2002 Scale: 1„_40, Review: PS Comp/Draft: RRL 'v
Pro j. # 22042 Drawing # C393-4g 1
�Z
FEMA Zone Lines
as Shown on FIRM C1
1P 12"Pipe(ci
� Panel 250001 0016 D Q : ' •'' •. _ °
Fnd rev July 2, 1992 / I Inv=1.7 CB/Cen
\ \Fnd OWNER: = 3 • '`
Wetland Ld t (ENSRed Vegetated Wetland) 1 \ C2as '• + ° •' y
P'1�1 SEP/o2 e5 °tr Virginia F Wagenseller _ 1 •* , ,:..p1• a <
Elizabeth F Fisher, & Henry H Fox • )
B/ c/o Henry H Fox a •' ' •• •. .,. •+
Hilton Head SC 29928-3947 �4• Neck•• •nc..r. `
12'°Pip �i / Parlcor
Clean .t / \\ \ �• Wetland Limit (BVW) F' _ 6
/ �`�' /�� �\ Q. as Flagged by ENSR �;.. i& •`
69 �- \ ,,t 3�\ SEP/02 ASSESSORS REF.: e`er
Map 138, Parcel 002-004CBILP
y
68
/ -
Fnd h.. �:'' /� l — /• \ \ \ �\ �\ � `
OVERLAY DISTRICT.
X \ \I I "° � \ \ ,� AP - Aquifer Protection District � •
50 %95t°I (ontings.l \ \ d� c6 As Shown on Plan Entitled
A10 \ �. . .\ \\ \ \
^� I �` Defined —��- \. . �, "Revised Groundwater Protection
12"Pipe (ei) \� A ;. \cn !°�� V �,� -F V A 50• `�cs. Overlay Districts" - April, 1993
In v=1.9' \ \ \ i _ �o�K \ '3\�\ \ os Qq 15.
\ \_ .? i,, i Proposed \ C70 O.
A9 ,Go ; f\.: �_ _;;Lawn �oQ�\ \ \� �- �. Location Map
\ \
\\ \\ \ \\ \ \ `\` C8 —
,� \ :�". \ \ FLOOD ZONE: 1"-2,000f'
C9 Zone B & All, A13, & V17 (see plan)
/ / 1 0 \ coo Community Panel' No. `
Lot Size: 2. 44 Acres ' tl / / i� . � � \ O �-soo cai. .�rywen\ \ i Fnd � .p
/ l w/ 4' $f Mane For\ \ / \ 1 l #250001 0016 ',D
f Roof& Drive y Runo ZONE:
July 2, 1992',
Wetland Limit BVW / / :' 1. rl earp9@ \ \ . . ., y\� ' \ \ \'�� RF-1
(BVW) / / / /� •, taro
as Flogged by ENSk // / / / / ? / I :J l / �gba,���J \ \ \ ��\ \ Area (min.) ',43,560 SF
SEP/02 / / / / 87,120 SF - R.P.0.D.
A/� //� i / / // �s°SPd / yl j Frontage (min) 20'
'� / /12"o k •. / / I : : I: ( ', 0 �1 Width (min) ''125'
/4 �t / Q / / — \ \ \ \ ` -1o\ I I \ Setbacks:
JI o Front 30'
12"oak \ I �i
Proposed Side 15'
I 50' Lawn Rear 15'
�v „..
�18"Oak
Al / / �(}�h 1 0' 0 / tp'-t0" Proposed Septic S)stem.12»T�
/ (See Sheet 2 of 2JI
+'�' C20
/ CB/LP Dc V \ '7"''� v / / / lp
Fnd / / /� ,�: . . . 180 k/ 18'oako�w / ' / / �/ ���'- Fnd Notes: 1) House / Lanscape Work Limit to be Double
{50-
Staked Hay Bales With Silt Fencing.
. .
I :: WET#1 2) Plantings to Include: Honoki Cypress, Deciduous
. . .. . . . . . / / ' •cis
/ �/ / / /�/ / / / Azaleas Cultivors, Birch, Hydrangea, Cranberry
/ /
6' 0 / / / / / / / �/ / I Bush Viburnom, Coastal Leucothoe, Inkberry,
10 Proposed I I / / / ' / / / Japanese Holly, American Holy, Blue Spruce,
Lawn C24 ' Enkionthus, Hosto, Ferns, Daylily, Iris, Alchemillo,
and Epimedium.
6' Oak 1¢ - 1' I /� G // / / I
r °Q \ \ I 1 0' I l 25. .
/ XbCBID
Fnd _ / —15 1201: I I
m=,. . . . . . . I
.Proposed . . . . . I \ I l f C26 tZ I
I
\ \ I ` I00
\ Wetland Limit (BVW) Cr N
. -.... . . . . . . . . . . ..`:. I
_ �. . . .'. . . a:. .\ . . . . .\ . I ( \ I I I �27 as Flogged by ENSR wlo
(4 ' SEP/02
'P 0
ub/ic - � ....„.. .
wa j' . �270o 1 J \ II 1 I c° �� 0 P
#
y) 4 a I I I c2a n I O `
u l PETER
� NO.29733
CIVIL
C29
\\
C30 \ '
h \ \
Modified House Footprint & Add Bedroom 04107103
'IXof,o� \ \ \ Modified House Footprint and 01 13 03
i ° Added Landscaping. Sheet 1 of 2 Only. / /
f i t i \ C31 Revision Reset House Work Limit and Add Notes.
10129102 Sheet 1 of 2 Only,
Title: PREPARED BY. PREPARED FOR: Notes:
Site Plan 1.) The property line information shown was
Proposed Improvements
Sullivan Engineering, Inc. CapeSury Robert BreaUl f compiled from available record information.
PO Box 659 7 Parker'Rood PO BOX 709
At Osterville, 02655 Osterville MA 02655 2.) The topographic information was obtained
(508)428-3344 (508)428-3115 fax (508)420-3994 (508)420-3995 fax Osterville MA 02655 from an on the ground survey performed on
434 Seaview Avenue or between 06/SEP/02 and 10/SEP/02.
3.) The datum used is NGVD '29, a fixed mean
Barnstable, (Osterville) Mass Draft: JOD Field: MDH/WHK 40 0 20 40 80 160 sea level datum.
Date: Scale: Review: PS Comp/Draft: RRL
September 30, 2002 1 =40, Pro j. # 22042 Drawing # C393_4g1 „